Individual
MRS. ANGELA MARIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
157 MAYFAIR RD, MOORESVILLE, NC 28117-6022
(859) 630-8893
Mailing address
157 MAYFAIR RD, MOORESVILLE, NC 28117-6022
(859) 630-8893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004006
KY
225100000X
Physical Therapist
Primary
16981
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004006
KY PT LICENSE
KY
01
—
16981
NC PT LICENSE
NC
Enumeration date
01/23/2018
Last updated
01/23/2018
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